Legal Name Change Request University Of Cincinnati
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1Legal Name Change Request
REGISTRAR’S OFFICE
PO Box 210060, Cincinnati, OH 45221-0060
Fax: 513-556-8000
E-mail:
registrar.info@uc.edu
(All fields must be completed legibly)
Prior Name:
Last
First
Middle
New Legal Name:
Last
First
Middle
UCID Number: ____________Birthdate: __________Date of Last UC Attendance:________
Current Address:
Number and Street
City
State/Country
Zip
Phone
Email
Reason for the Legal Name Change
(Note: supporting / authenticating documents must accompany this request):
Misspelling- include copy of Driver’s License
Marriage- include copy of Driver’s License, social security card, or marriage certificate
Divorce- include copy of legal divorce decree
Legal Name Change- include copy of court order of legal name change
Naturalization- include copy of naturalization document or copy of passport
Religious Reasons- copy of court order of legal name change
By my signature, I hereby certify that on this day I made request to University of Cincinnati that
UC change the legal name associated with my permanent records, as indicated on this form.
Signature:
Date:
(Sign your full legal name)
Mail this form & documents to:
Email form & documents to:
Registrar.info@uc.edu
University of Cincinnati
Office of the Registrar — Name Change
or
OR
FAX form & documents to:
P. O. Box 210060
513-556-8000
Cincinnati, OH 45221-0060
Note: currently enrolled students must also contact IT@UC Service Desk (513-556-4357) to request
a change to their unique ID used with e-mail, Blackboard, and One Stop Student Services online.
Department of Enrollment Management Office of the Senior Vice President and Provost
REV 02/25/2016
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Parent category: Legal